DR. SUZANNE ELENA PHILLIPS (NPI# 1407068950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407068950 |
Entity Type | Individual |
Full Name | DR. SUZANNE ELENA PHILLIPS |
Credential | M.D. |
Practice Address |
2083 E 64th St Brooklyn NY 11234-5911 |
Practice Telephone | 9174760822 |
Practice Fax Number | 7182095102 |
Mailing Telephone | 9174760822 |
Mailing Fax Number | 7182095102 |
Enumeration Date | 2007-05-05 |
Last Update Date | 2010-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
195284-1 | NY | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
195284-1 | NY | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 195284-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEA LICENSE NUMBER | BP4401408 | 01 |
NY | NEW YORK STATE MED LIC | 195284-1 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811436603 | Suzanne L Phillips | Massage Therapist | 101 Crosby St, Newark, NY 14513-1916 | 2017-02-14 |
1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
1245532084 | Suzanne Nicole Phillips | Nurse Practitioner | 125 South Park Dr Ste B, Brownwood, TX 76801-5952 | 2010-11-30 |
1689870297 | Suzanne Blandine Phillips | Psychologist | 22 Norwood Rd, Northport, NY 11768-3506 | 2007-06-22 |
1053349589 | Suzanne L. Phillips | Podiatrist | 1073 Second Street Pike, Richboro, PA 18954-1803 | 2006-06-30 |
1457594368 | Suzanne Toussaint Phillips | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2009-04-08 |
1134376817 | Suzanne Dawn Phillips | Nurse Practitioner | 4 Walter E Foran Blvd, Suite 101, Flemington, NJ 08822-4664 | 2008-08-25 |
1699934059 | Suzanne M Phillips | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2008-06-02 |
1992888929 | Suzanne S. Phillips | Social Worker | 1600 E Jefferson St Ste 510, Seattle, WA 98122-5648 | 2006-10-23 |
Street Address |
2083 E 64TH ST |
City | BROOKLYN |
State | NY |
Zip Code | 11234-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992861066 | Louis A Chiappetta | Chiropractor | 2083 E 64th St, Brooklyn, NY 11234-5911 | 2006-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
Find all providers in zip 11234 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962976274 | Kings County House Calls Np In Family Health Pllc | General Practice | 3709 Flatlands Ave, Brooklyn, NY 11234-3507 | 2019-01-20 |
1306392840 | David Zisha Kinraich | General Practice | 4910 15th Ave Apt 4l, Brooklyn, NY 11219-3236 | 2016-08-25 |
1255705075 | Nyc Brook Medical LLC | General Practice | 183 Wilson St Ste 205, Brooklyn, NY 11211-7578 | 2015-11-17 |
1811366099 | M S Elisabeth Fanini-lemoine Colon | General Practice | 107 Hart St, Apt.3, Brooklyn, NY 11206-6814 | 2015-09-17 |
1407232119 | Andral Mathieu St. Fleur | General Practice | 1023 E 58th St Fl 1, Brooklyn, NY 11234-2517 | 2015-08-04 |
1427431568 | Harold Matos Casano | General Practice | 374 Stockholm St Fl 4, Brooklyn, NY 11237-4006 | 2015-07-07 |
1467860148 | Jerome Cantor | General Practice | 258 82nd St, Brooklyn, NY 11209-3811 | 2014-07-25 |
1225458623 | Lily Xu | General Practice | 757 60th St Fl 1, Brooklyn, NY 11220-4209 | 2014-04-24 |
1477974301 | Michel Medical | General Practice | 567 Midwood St, Brooklyn, NY 11203-1110 | 2013-12-19 |
1699103200 | Theodor Stanley Kaufman | General Practice | 272 Clinton St, Brooklyn, NY 11201-6145 | 2013-10-16 |
Find all providers in BROOKLYN |
Please comment or provide details below to improve the information on DR. SUZANNE ELENA PHILLIPS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.